Spigelian hernia: a rare abdominal hernia

Authors

  • Sajid Hussain Department of General Surgery, AIIMS, Patna, Bihar, India
  • Shakil Jawed Department of General Surgery, AIIMS, Patna, Bihar, India
  • Zamurrad Parveen Department of Obstetrics and Gynecology, PMCH, Patna, Bihar, India
  • Md. Asjad Karim Bakhteyar Department of General Surgery, PMCH, Patna, Bihar, India

DOI:

https://doi.org/10.18203/2349-2902.isj20185049

Keywords:

Arcuate line, Incarceration, Rectus muscle, Spigelian Hernia, Semilunar line

Abstract

Spigelian hernia is a rare variety of abdominal wall hernia occurring through the spigelian fascia which is composed of the aponeurotic layer between rectus muscle medially and semilunar line laterally. Generally it is difficult to diagnose because of their location and non specific symptoms. Diagnosis is aided by ultrasonography and Computerized Tomography. Once the diagnosis is confirmed, it is repaired surgically as risk of incarceration is high. We reported this interesting case of spigelian hernia with associated port site hernia in a 53 year old female patient from Arwal district, Bihar who presented with occasional lower abdominal pain. The hernia was reduced and defect was repaired. Her recovery was uneventful.

Metrics

Metrics Loading ...

References

Baucom C, Nguyen QD, Hidalgo M, Slakey D. Minimally invasive spigelian hernia repair. JSLS. 2009;13(2):263-8.

Mittal T, Kumar V, Khullar R, Sharma A, Soni V, Baijal M, et al. Diagnosis and management of Spigelian hernia: A review of literature and our experience. 2008;4(4):95-8.

Mederos R, Lamas JR, Alvarado J, Matos M, Padron I, Ramos A. Laparoscopic diagnosis and repair of Spigelian hernia: A case report and literature review. Int J Surg Case Rep. 2017;31:184-7.

Mhatre HP, Kanake VB, Nandu VV. Spigelian hernia: a rare case presentation. Int Surg J. 2015;2(4):717-20.

Klinkosch JT. Programma quo divisionem herniarum, novumque herniae ventralis specium proponit. Rotterdam: Benam;1764.

Yi-ChunShih. Hsien-PinSun. Spigelian hernia showing itself as a left lower abdominal mass. Formosan J Surg. 2014;47(2):78-81.

Skandalakis PN, Zoras O, Skandalakis JE, Mirilas P. Spigelian hernia: surgical anatomy, embryology, and technique of repair. Am Surg. 2006;72:42-8.

Foster D, Nagarajan S, Panait L. Richter-type Spigelian hernia: A case report and review of the literature. Int J Surg Case Rep. 2015;6:160-2.

Belekar D, Dewoolkar V, Desai A, Anam J, Parab M. A rare case of spigelian hernia presenting with intestinal obstruction. Int J Surg. 2008;8(2):1-3.

Salemis NS, Kontoravdis N, Gourgiotis S, Panagiotopoulos N, Gakis C, Dimitrakopoulos G. Colonic obstruction secondary to incarcerated Spigelian hernia in a severely obese patient. Int J Surg Case Rep. 2010;1(3):27-9.

Downloads

Published

2018-11-28

How to Cite

Hussain, S., Jawed, S., Parveen, Z., & Bakhteyar, M. A. K. (2018). Spigelian hernia: a rare abdominal hernia. International Surgery Journal, 5(12), 4078–4080. https://doi.org/10.18203/2349-2902.isj20185049

Issue

Section

Case Reports